A list of the most recent deficiencies for Elderberry Health Care. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-26 | 2023-10-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-26 | 2023-10-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-26 | 2023-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-26 | 2023-10-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-22 | 2023-07-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-22 | 2023-07-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-22 | 2023-07-20 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-22 | 2023-07-20 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-22 | 2023-07-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-22 | 2023-07-20 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-22 | 2023-07-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-28 | 2021-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-28 | 2021-11-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-28 | 2021-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-28 | 2021-11-29 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-28 | 2021-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-11-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-27 | 2019-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-27 | 2019-07-23 | N |
